What’s the Difference Between a Therapist, Counselor, Psychologist, and Psychiatrist?

Am I talking to a therapist, counselor, psychologist, or psychiatrist?

If you’ve ever looked for mental health support, you’ve probably come across a bunch of different titles: therapist, counselor, psychologist, psychiatrist—and wondered… What’s the Difference Between a Therapist, Counselor, Psychologist, and Psychiatrist?

It’s a common and totally valid question. While each of these professionals help with emotional and mental well-being, they each have unique training and roles.

So let’s break it down so you can find the right fit for what you need:

1. Therapist--“Therapist” is a general term, not a specific license. It refers to someone trained to provide talk therapy. Therapists may be licensed counselors, social workers, marriage and family therapists, or psychologists.

• They help with things like anxiety, trauma, relationships, grief, and life transitions.

• Most therapists have a master’s or doctoral degree in a mental health field.

• Credentials might include: LPC, LMFT, LCSW, PsyD

• Can prescribe medication? No

2. Counselor--A Licensed Professional Counselor (LPC) or similar credential varies by state (you might also see LPCC, LMHC, or LCPC). These professionals focus on coping strategies, emotional growth, and problem-solving.

• Many counselors specialize in specific areas like teens, trauma, couples, or anxiety.

• They often use evidence-based approaches like CBT (Cognitive Behavioral Therapy) or solution-focused therapy.

• Can prescribe medication? No

3. Psychologist--A psychologist holds a doctoral degree (PhD or PsyD) and is trained in both therapy and psychological testing.

• They often help with more complex diagnoses or conduct assessments (like ADHD or learning disabilities).

• Some do therapy, others focus more on testing and evaluations.

• Can prescribe medication? No (except in a few states with special training)

4. Psychiatrist--A psychiatrist is a medical doctor (MD or DO) who specializes in mental health and is the only one on this list who can prescribe medication.

• They diagnose and treat mental health conditions like depression, anxiety, bipolar disorder, and more.

• Some also provide therapy, but most focus on medication management.

• Can prescribe medication? Yes

Still Not Sure of the Therapist vs. Counselor vs. Psychologist vs. Psychiatrist | MindRight Counseling question? We Can Help....

At MindRight Counseling & Coaching, we offer counseling services for children, teens, adults, and couples—and we can help connect you with the right kind of care, even if it’s not with us. Whether you’re looking for therapy or just have questions, we’re here for you.

Contact us today to schedule an appointment with a counselor.